2023 CPCA Workshop – Intro. to Botulinum Toxin – Registration Page

2023 CPCA Workshop Registration Form

Introduction to Botulinum Toxin

Step 1 of 3

Hidden

Next Steps: Install the Stripe Add-On

To accept payments on this form you will need to install the Stripe payment add-on. Important: Delete this tip before you publish the form.

Please complete the form below to register to attend the 2023 CPCA Workshop – Introduction to Botulinum Toxin.

This workshop is available to both current CPCA members and non-members.
You can select between two registration options below.
T&Cs apply.
 

Registration Option #1: Standard Registration

Applicable to CPCA members and non-members. Includes Standard Workshop Registration only. 12 places available.
 

$575.00 per person

Includes credit card payment fee and GST
 

Registration Option #2: Limited-Time-Only Special Offer

Applicable to non-members who have not held CPCA membership within the last 12 months. Includes Standard Workshop Registration + CPCA Corresponding Membership until 30 June 2024. Please remember to also submit a CPCA Membership Application at the time of registering for this workshop. Offer ends 5 October 2023.
 

$1,100.00 per person

Includes credit card payment fee and GST

 
Email(Required)
Please provide a copy of your current MDO Insurance Certificate of Currency showing your name, cover level, and expiry date.
Max. file size: 256 MB.
If you cannot source a model to attend this workshop, please contact the College before 10 October 2023, via cpca@cpca.net.au to see if a model can be arranged on your behalf.
Maximum quantity 1 – Each registrant must submit their own form. Applicable to CPCA members and non-members. Includes Standard Workshop Registration only. 12 places available.
Price: $ 575.00
Maximum quantity 1 – Each registrant must submit their own form. Applicable to non-members who have not held CPCA membership within the last 12 months. Includes Standard Workshop Registration + CPCA Corresponding Membership until 30 June 2024. Please remember to also submit a CPCA Membership Application at the time of registering for this workshop.
Price: $ 1,100.00